| Shonda Kaye Haymaker, CNP | |
|
624 Market Ave. N., Canton, OH 44702-1017 | |
| (330) 493-4553 | |
| (330) 493-3761 |
| Full Name | Shonda Kaye Haymaker |
|---|---|
| Gender | Female |
| Speciality | Nurse Practitioner |
| Experience | 19 Years |
| Location | 624 Market Ave. N., Canton, Ohio |
| Accepts Medicare Assignments | Yes. She accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548428790 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 163WP0808X | Registered Nurse - Psychiatric/mental Health | APRN.CNP.09758 (Ohio) | Primary |
| 207Q00000X | Family Medicine | APRN.CNP.09758 (Ohio) | Secondary |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| Phoenix Rising Behavioral Healthcare And Recovery, Inc. | 2466485800 | 30 |
| Entity Name | Phoenix Rising Behavioral Healthcare and Recovery, Inc. |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1891737292 PECOS PAC ID: 2466485800 Enrollment ID: O20050915000559 |
| Mailing Address | Practice Location Address |
|---|---|
| Shonda Kaye Haymaker, CNP 624 Market Ave. N., Canton, OH 44702-1017 Ph: (330) 875-5544 | Shonda Kaye Haymaker, CNP 624 Market Ave. N., Canton, OH 44702-1017 Ph: (330) 493-4553 |
Jenary Lynn Johnson, R.N. Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1000 Chapel Rdg Ne, Canton, OH 44714 Phone: 330-265-3203 |
Annie Shelton, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 2600 6th St Sw, Canton, OH 44710 Phone: 330-455-0374 |
Adriane Nicole Sedlock, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 2600 6th St Sw, Canton, OH 44710 Phone: 330-363-0000 |
Chelsie Marie Gresser, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 1341 Market Ave N, Canton, OH 44714 Phone: 330-453-8252 Fax: 330-452-4566 |
Miss Danielle Perez, RN, BSN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 2605 Clearview Ave Nw, Canton, OH 44718 Phone: 330-284-4773 |
Vicki Huot I, Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 3041 Cleveland Ave S, Canton, OH 44707 Phone: 330-484-9012 Fax: 330-484-9017 |
Heather Donohue, RN Registered Nurse Medicare: Not Enrolled in Medicare Practice Location: 733 Market Ave S, Canton, OH 44702 Phone: 330-489-4600 |